Provider Demographics
NPI:1962883785
Name:OSEI-BOAKYE, AMMA
Entity type:Individual
Prefix:
First Name:AMMA
Middle Name:
Last Name:OSEI-BOAKYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 WEAVER PL
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-4550
Mailing Address - Country:US
Mailing Address - Phone:775-221-0329
Mailing Address - Fax:
Practice Address - Street 1:3435 WEAVER PL
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-4550
Practice Address - Country:US
Practice Address - Phone:775-771-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health